MEDICARE: DR. STEPHEN A MYERS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	05-28655	KS
2	207VM0101X	Maternal & Fetal Medicine Physician	05-28655	KS
3	207V00000X	Obstetrics & Gynecology Physician	34008903	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	160049230	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26637011	OTHER	MO	BCBS KANSAS CITY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	673800	OTHER		FIRSTGUARD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376655266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN A MYERS DO

Provider Business Mailing Address
First Line	:	2500 METROHEALTH DRIVE
Second Line	:	METROHEALTH SYSTEM / DEPT OF OB/GYN
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1998
Country	:	US
Telephone Number	:	215-778-5498
Fax Number	:	216-778-8847

Provider Business Practice Location Address
First Line	:	2500 METROHEALTH DRIVE
Second Line	:	METROHEALTH SYSTEM / DEPT OF OB/GYN
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1998
Country	:	US
Telephone Number	:	215-778-5498
Fax Number	:	216-778-8847

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/29/2012

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Directions to “ DR. STEPHEN A MYERS DO” Practice Location

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